Syndrome: 
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Hair grossly: 
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Hair microscopically: 
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(or Hair Shaft Abnormaity) 
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Uncombable Hair Sx 
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“spun glass” hair 
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EM = pili trianguli et canaliculi 
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trichothiodystrophy 
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sparse brittle hair 
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trichoschisis 
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polarized light – tigertail hair 
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Netherton’s syndrome 
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Trichorrhexis Invaginata 
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(Pili annulati) 
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scintillating appearance 
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alternating areas of light (normal) 
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and dark (gas-filled) hair 
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Menkes’ kinky hair syndrome 
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sparse brittle hair 
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pili torti 
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(P)IBIDS 
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sparse brittle hair 
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trichothiodystrophy 
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Monilethrix 
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sparse brittle hair 
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periodic beading 
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Björnstad’s syndrome 
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sparse brittle hair 
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pili torti 
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(trichorrhexis nodosua) 
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tiny white “beads” 
ends 
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cortical fibers splayed out at both  
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(pili torti) 
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sparse brittle hair 
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twisted hairs 
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